NPI | 1659882066 |
---|---|
Entity Type | Organization |
Authorized Contact | SHADRACK JORAM BAMPEBUYE Administrator / Owner 301-683-4270 |
Organization Subpart ? | No |
Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health |
364SA2200X Clinical Nurse Specialist, Adult Health | |
163WW0000X Registered Nurse, Wound Care | |
224Z00000X Occupational Therapy Assistant | |
Enumeration Date | 2017-10-12 |
Last Update Date | 2023-10-10 |